世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
6期
707-712
,共6页
孙悦礼%姚敏%崔学军%姚长风%王拥军
孫悅禮%姚敏%崔學軍%姚長風%王擁軍
손열례%요민%최학군%요장풍%왕옹군
颈痛%神经根型颈椎病%痹症%结局指标%量表
頸痛%神經根型頸椎病%痺癥%結跼指標%量錶
경통%신경근형경추병%비증%결국지표%량표
Neck pain%Cervical radiculopathy%Bi Zheng%Outcome%Scale%Questionnaires
神经根型颈椎病引起颈痛及神经症状,影响着患者们的生活质量,是颈椎病各型中发病率最高、临床最常见的一种,中医将其归属于“痹症”。然而大多数中医传统疗法的安全性和有效性未经过国际公认的标准进行评价,获得的证据也难以应用于国际主流的循证理念。本篇综述针对神经根型颈椎病,将有关颈痛的一些国际公认的信息进行汇总,包括颈痛的定义、分类以及现有的评定手段,通过综合性评述,提出适用于中医药临床科研的评价方法。
神經根型頸椎病引起頸痛及神經癥狀,影響著患者們的生活質量,是頸椎病各型中髮病率最高、臨床最常見的一種,中醫將其歸屬于“痺癥”。然而大多數中醫傳統療法的安全性和有效性未經過國際公認的標準進行評價,穫得的證據也難以應用于國際主流的循證理唸。本篇綜述針對神經根型頸椎病,將有關頸痛的一些國際公認的信息進行彙總,包括頸痛的定義、分類以及現有的評定手段,通過綜閤性評述,提齣適用于中醫藥臨床科研的評價方法。
신경근형경추병인기경통급신경증상,영향착환자문적생활질량,시경추병각형중발병솔최고、림상최상견적일충,중의장기귀속우“비증”。연이대다수중의전통요법적안전성화유효성미경과국제공인적표준진행평개,획득적증거야난이응용우국제주류적순증이념。본편종술침대신경근형경추병,장유관경통적일사국제공인적신식진행회총,포괄경통적정의、분류이급현유적평정수단,통과종합성평술,제출괄용우중의약림상과연적평개방법。
The typical patients with cervical radiculopathy present neck and arm discomfort of insidious onset.The discomfort can range from a dull ache to a severe burning pain,which affects patientsquality of life,The cervical radiculopathy is the highest incident one a-mong all kinds of cervical spondylosis and is the most commonly see in clinical practice,classified as“Bi Zheng”in TCM.However,the safety and effectiveness of most TCMtherapy havent ever been evaluated with some internationally recognized standards.Therefore,their evidence is hard to present in the international mainstream evidence-based concept.The aim of this study is to conduct a critical review on assessment and measurement and various definitions and classifications of the existing literatures on neck pain in cervical radiculopa-thy.The main results of the review bringing in the evidence in terms of the reliability,validity,and utility of objective tests and self-re-ported pain and disability assessment in people with cervical radiculopathy are provided here.